When Deborah Bialis of San Francisco found out in 2012 that she might have trouble getting pregnant at the age of 27 with her husband, Jake Anderson, the pair began navigating the complex and expensive web of fertility treatments and doctors. It left them frustrated and disappointed, and eventually led the pair to quit their jobs and launch FertilityIQ, a Yelp-like review website that allows user to share information and assessments on doctors and clinics.

“It attacks you emotionally in a way that’s hard to fathom,” Anderson, 36, said of the experience. “When you think you’ll be a parent someday and then realize it may not happen, it’s a crisis. It can drive a wedge between partners, and emotionally it is pure hell.”

“We realized there was no accountability on the clinic level,” Bialis, now 30, told The New York Times. “There was so much miscommunication.”

More than 7 million women sought fertility treatments from 2006 through 2010, part of a $3 to $4 billion industry in the U.S., according to The New York Times. With each cycle of treatment costing from $14,000 to $17,000, couples can spend significant portions — if not all — of their savings trying to conceive. While some doctors criticize FertilityIQ for basing reviews on just a few patient experiences, Anderson says the site is still a work in progress but already has more than 5,000 assessments.